CPT Code 99484: Care management, behavioral health, 20+ min/month

When to Use CPT 99484

Use CPT code 99484 when billing for care management, behavioral health, 20+ min/month. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.

Adding CPT 99484 to a Superbill

When generating a superbill with CPT 99484, include the ICD-10 diagnosis code, date of service, fee charged, amount paid, and your NPI number. Superbilled pre-fills common therapy CPT codes automatically.

Common ICD-10 Pairings

These diagnosis codes are frequently used alongside CPT 99484:

Documentation Requirements

Document at least 20 minutes of care management per calendar month. Include care coordination activities, treatment monitoring, and follow-up contacts.

Common Denial Reasons

• ✗ Less than 20 minutes of documented care management in the month
• ✗ Missing documentation of specific care coordination activities
• ✗ Billed concurrently with collaborative care codes (99492-99494) improperly

Reimbursement Expectations

OON reimbursement typically 40-60% of UCR. Expect $20-$60 per month.